Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $181.75 / $2,331.21	Facility		$100.00	$181.75	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.79 / $50.39 / $54.26	Professional		$41.79	$50.39	$54.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,223.09 / $1,359.00 / $3,300.00	Facility		$1,223.09	$1,359.00	$3,300.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.21 / $30.28 / $46.97	Professional		$21.21	$30.28	$46.97
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $32.02 / $46.55 / $69.48	Professional	50	$32.02	$46.55	$69.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.69 / $37.78 / $79.06	Professional		$24.69	$37.78	$79.06
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $24.44 / $39.61 / $74.92	Professional		$24.44	$39.61	$74.92
United Facility/Professional Facility Modifier Low / Median / High Price $7,448.00 / $7,448.00 / $7,448.00	Facility		$7,448.00	$7,448.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $35.97 / $46.13 / $87.19	Professional		$35.97	$46.13	$87.19
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $22.31 / $31.23 / $50.50	Professional		$22.31	$31.23	$50.50